NC0004260_Owner (Affiliation Change)_20211020

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A t€,`.,`a:-°'i--,s•5-'-- ,PA NC DEPARTMENT OF ENVIRONMENTAL QUALITY
f,,., DIVISION OF WATER RESOURCES
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r = WATER QUALITY PERMITTING SECTION
NORTH CAROLINA - NPDES PERMITTING
Environmental Quality
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCO() 0 / 4 / 2 / 6 / 0 or NCGS_J / / /_
1. Facility Name: Former CR Industries
II. NEW OWNER/NAME INFORMATION: RECE EI p
1. This request for a name change is a result of:
VED
OCT 202021
a. Change in ownership of property/company
b. Name change only NCDEQ/DWR/NPDES
X c. Other(please explain): *Existing permit owner(SKF USA Inc.)contact name change
2. New owner's-name(name to be put on permit):
3. New owner's or signing official's,name and title: Gregory A.Touchette(SKF USA Inc.)
(Person legally responsible for permit)-
VP Corporate Environment;Health,Safety&'Strategic Programs
(Title)
4. Mailing address: SKF USA Inc. 890 Forty Foot Rd City: Lansdale
State: PA Zip Code: 19446 Phone: ( 810 ) 543-0148
E-mail address: [e-mail]
III. FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same as under the previous owner? Yes NI No ❑
*The groundwater remediation system is inactive_
2. Will the treatment system and discharge location remain the same? Yes ❑x No 0
*The groundwater remediation system is inactive.
"No Responses"
If either or both of these questions are answered"No"then more information will be needed to'review the '
request. Please attach documentation to describe and explain the changes to the facility activities,'waste
stream, treatment process or outfall,location. The Division may not-be able to process-the Permit
Name/Ownership'Change request and may require that the new owner file a new permit application.
North Carolina Department of Environmental Quality I Division of Water Quality
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NORTH CAROUN4
Jrrr///}� 512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 27699-1617
Department mEnnmraru,wOval".\ /*" 919.707.9000

NPDES Name and Ownership Change
Page 2 of 2
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership(such as a property deed,articles of
incorporation,or sales agreement)
3. Information to document facility,waste stream,treatment system or outfall changes as noted in
item III above(if appropriate)
Applicant's Certification:
I Gregory A. Touchette ,attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included,this application package will be returned as
incomplete. I understan. • t Permit Name/Ownership Change can only take_place through action
taken b the Divisioil Water Resources and that no actions on my part or the part of my company
result in the auto . 'lc tra sfer of permit coverage.
r
Signature: l� `! Date: /0 /17/ 202
THE COMPLETED APPLICATION PACKAGE,INCLUDING ALL SUPPORTING INFORMATION&MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ/DWR/NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 07/2021